Carlos R Conesa, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

21181 Issued in PR

Practice address

1011 Honor Heights Dr
Muskogee, OK 74401-1318

Phone

(918) 577-3000

NPI assigned

Dec 18, 2018

Last updated

Apr 13, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1545091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1366914111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 CHALKSTONE AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029084728",
            "telephone_number": "401-456-2032",
            "fax_number": "401-456-6719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 HONOR HEIGHTS DR",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744011318",
            "telephone_number": "918-577-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "SOUTHERN MEDICAL PLAZA",
            "address_2": "80 CALLE 3 SUR",
            "address_purpose": "LOCATION",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00784",
            "country_code": "US",
            "telephone_number": "787-866-1212",
            "fax_number": "787-866-3322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "SOUTHERN MEDICAL PLAZA",
            "address_2": "80 CALLE 3 SUR",
            "address_purpose": "LOCATION",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00784",
            "country_code": "US",
            "telephone_number": "787-866-1212",
            "fax_number": "787-866-3322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "825 Chalkstone Ave",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "02908",
            "country_code": "US",
            "telephone_number": "401-456-2032",
            "fax_number": "401-456-6719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONESA",
        "first_name": "CARLOS",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-18",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "LP04752",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "21181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Elizabeth Combs
• Gregory Comeaux, RD
• Kristi Compton
• Lauren Olivia Conant
• Concord Food Stores LLC (Price Cutter Pharmacy 347)
• Ryan Patrick Conley, DO
• Olivia Nicolette Conrad, BSN,RN
• Continental Home Care, LLC (Enhabit Home Health of Eastern Oklahoma)
• Amy Loahlynn Cook, BS
• Chelsey Danell Deon Cook, LADC/MH

• General Practice Physician in Muskogee, OK
• Providers in Muskogee, OK by specialty
• General Practice Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.